Journal of Nursing and Public Health Research

Factors Predicting Road Accident Prevention Behaviors among Students and Personnel at Songkhla Rajabhat University

2025-08-14T09:33:30+07:00

This cross-sectional descriptive study aimed to examine the factors and levels of road accident prevention behaviors and to analyze a causal relationship model of such behaviors among students and personnel of Songkhla Rajabhat University. The sample consisted of 574 students and 183 personnel who rode motorcycles in Khao Roop Chang subdistrict, Mueang district, Songkhla province. Data were collected using questionnaires assessing attitudes toward road accident prevention behaviors, perceived behavioral control regarding accident prevention, subjective norms related to road accident prevention, and intention toward road accident prevention behaviors. Data were analyzed using descriptive statistics and stepwise multiple regression analysis.

The results showed that students and personnel demonstrated high levels of attitudes, perceived behavioral control, subjective norms, and road accident prevention behaviors (Mean (S.D.) = 4.10 (0.57), 4.43 (0.47), 4.47 (0.47), and 4.52 (0.45), respectively). The level of intention toward road accident prevention behaviors was moderate (Mean (S.D.) = 3.23 (0.55)). Multiple regression analysis revealed that perceived behavioral control and subjective norms were significant predictors of road accident prevention behaviors among both students and personnel, jointly explaining 23.3% and 19.2% of the variance, respectively (R² = 0.23 and R² = 0.19, p-value < 0.01). Intention toward road accident prevention behaviors was significantly associated with preventive behaviors only among personnel, whereas attitudes were not significantly associated with preventive behaviors in either group. These findings can be used as a guideline for designing road accident prevention measures in higher education institutions, particularly for motorcycle riders. The study also suggests promoting a culture of safe riding through peer group mechanisms and multisectoral participation.

Development of a Health Care System for Bedridden Older Adults in the Community

2025-07-07T09:20:23+07:00

This research and development study aimed to examine the current situation of care for bedridden older adults in the community and to develop and evaluate a health care system for bedridden older adults in the community. The study sample consisted of individuals involved in the care of bedridden older adults and family caregivers, totaling 40 participants. The study was conducted in three phases: 1) assessment of the current situation of care for bedridden older adults in the community; 2) development of a health care system for bedridden older adults in the community; and 3) evaluation of the health care system for bedridden older adults in the community. The research instruments included a focus group discussion guide, a social support assessment questionnaire, a quality of life assessment questionnaire, and a satisfaction questionnaire regarding the health care system for bedridden older adults in the community. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test.

The results showed that the health care system for bedridden older adults in the community involved responsible organizations from both the health care team and the Subdistrict Administrative Organization, which provided care-related equipment and arranged care assistants for dependent older adults in the community; however, the system was not yet comprehensive or fully integrated across all relevant organizations. The developed community-based care system comprised six components: 1) assessment of dependency levels and support needs, 2) support for establishing a social welfare system to enhance access to health services for dependent older adults, 3) home visits for bedridden older adults, 4) home environment modification, 5) access to emergency services, and 6) development of caregivers’ knowledge and caregiving skills. The evaluation of the implementation of the health care system in the community, as assessed by the social support of caregivers of bedridden older adults before and after system development, demonstrated a statistically significant difference (p-value = 0.048), whereas caregivers’ quality of life did not show a statistically significant difference (p-value = 0.44). The findings suggest that the health care system in the community for bedridden older adults should be further applied and evaluated to examine its effectiveness in promoting the quality of life of caregivers of bedridden older adults.

The Development of a Self-Care Management to Reduce Knee Pain among Older Adults with Knee Osteoarthritis by a Community Participation

2025-06-16T10:58:19+07:00

This action research aimed to develop self-care for reducing knee pain among older adults with knee osteoarthritis through community participation. The research participants included 50 older adults with knee osteoarthritis selected by purposive sampling, along with 50 caregivers or family members, 20 village health volunteers, 2 community leaders, and 2 registered nurses from Klingkham Subdistrict Health Promoting Hospital. The research process consisted of four steps conducted in two cycles: 1) situational study leading to planning, 2) problem identification and planning, 3) community-based implementation and observation, and 4) reflection, evaluation, and plan improvement. The research instruments included an interview form for general information and the situation of knee osteoarthritis among older adults, focus group discussion guidelines, brainstorming and reflective meeting guidelines, and a satisfaction assessment form. Quantitative data were analyzed using descriptive statistics, including percentages, means, and standard deviations, while qualitative data were analyzed using content analysis.

The results showed that the self-care development approach through a community participatory process consisted of four components: 1) collaborative study and selection of diverse educational materials with the community, 2) provision of knowledge training for the health care team, the sample group, and stakeholders, 3) promotion of the safe use of pain-relieving herbal remedies in the community, and 4) home visits conducted by the community health team. These processes resulted in improved self-care for reducing knee pain among all participants. The overall satisfaction evaluation was at a high level (Mean = 4.12, S.D. = 0.68). Therefore, health personnel can apply this process as a guideline for promoting self-care to reduce knee pain in collaboration with community health teams.

Factors Influencing Dietary Consumption Behaviors among the Working-Age Population in Thailand

2026-01-05T09:26:40+07:00

This cross-sectional survey study aimed to analyze factors influencing dietary consumption behaviors among the working-age population in Thailand. Participants were 10,260 working-age individuals aged 19–59 years. Data were collected using an online questionnaire, which included measures of personal characteristics, enabling factors related to dietary consumption, reinforcing factors related to dietary consumption, and dietary consumption behaviors. Data were analyzed using descriptive statistics and stepwise regression analysis.

The results showed that enabling factors related to dietary consumption were at a high level (Mean = 4.08, S.D. = 0.61), while reinforcing factors related to dietary consumption were at a moderate level (Mean = 3.44, S.D. = 0.38). Overall dietary consumption behaviors were also at a moderate level (Mean = 3.30, S.D. = 0.26). Factors that significantly predicted dietary consumption behaviors included reinforcing factors related to dietary consumption (b = 0.24; p-value < 0.001), enabling factors related to dietary consumption (b = 0.04; p-value < 0.001), living in a nuclear family (b = 0.03; p-value < 0.001), absence of underlying diseases (b = 0.02; p-value < 0.001), male sex (b = -0.01; p-value = 0.04), and number of family members (b = -0.008; p-value < 0.001). These variables jointly explained 14.80% of the variance in dietary consumption behaviors among the working-age population (adjusted R² = 0.15). Among the predictors, reinforcing factors and enabling factors related to dietary consumption demonstrated the strongest predictive power. Therefore, health professionals should promote nutrition education that supports appropriate information dissemination for working-age adults, emphasizes awareness of family-based dietary planning, and enables individuals to make appropriate food purchasing decisions.

The Effects of a Health Literacy Promotion Program on Health Literacy and Health Behaviors in Urban Stroke Patients at Vajira Hospital

2025-11-24T09:47:55+07:00

This quasi-experimental study aimed to examine the effects of a health literacy promotion program on health behaviors and health literacy levels among urban stroke patients at Vajira Hospital. A total of 60 participants were purposively selected and assigned to either an experimental group or a control group, with 30 participants in each group. The research instruments included the health literacy promotion program, a general information questionnaire, a health behavior assessment, and a health literacy assessment. Descriptive statistics were used to analyze general information. Differences in mean scores before and after the intervention were analyzed using the dependent t-test, while differences in mean scores between the experimental and control groups were examined using the independent t-test.

The results showed that after participating in the program, the experimental group had a significantly higher mean health literacy score (Mean = 72.10, S.D. = 6.58) compared with before the intervention (Mean = 41.30, S.D. = 5.87; p-value < 0.001). Regarding health behaviors, the experimental group also demonstrated a significantly higher mean score after the program (Mean = 117.40, S.D. = 8.21) than before participation (Mean = 83.00, S.D. = 7.45; p-value < 0.001). Based on these findings, the health literacy promotion program should be implemented to enhance health literacy and promote effective health behaviors among stroke patients, thereby improving their self-care management.

The Development of a Care Model for Psychiatric Patients through the Participation of Network Partners in Toom Sub-District, Prang Ku District, Si Sa Ket Province

2025-10-27T09:10:37+07:00

This participatory action research aimed to develop a model of care for psychiatric patients through the involvement of network partners in Toom Subdistrict, Prang Ku District, Si Sa Ket Province. Purposive sampling was employed to recruit participants, including 25 psychiatric patients and a total of 57 caregivers, village health volunteers, community leaders, and health network partners. The research process consisted of three phases: 1) preparation, 2) implementation, and 3) evaluation. Data were collected using questionnaires, in-depth interviews, and focus group discussions. Quantitative data were analyzed using descriptive statistics and paired t-tests, while qualitative data were analyzed using content analysis.

The findings revealed that most patients were diagnosed with schizophrenia (60%) and had a history of missed medical appointments (64%). Caregivers demonstrated insufficient knowledge regarding psychiatric disorders. The developed care model, the TOOM Model, comprises four key components: the use of communication technology, community empowerment, collaboration among network partners, and caregiver support. Following implementation, scores related to knowledge, perceptions, participation, and caregiving behaviors among network partners, as well as patients’ activities of daily living skills, significantly improved (p-value < 0.001). Therefore, the TOOM Model represents an effective approach that is well suited to rural community contexts and contributes to the sustainable improvement of psychiatric patient care.

Integrating Buddhist Wisdom with Holistic Health Promotion: A Case Study of Monks in the Digital Era in Muang Uttaradit District

2025-12-12T15:25:33+07:00

This research and development study aimed to: (1) examine the situation of holistic health and digital technology use among monks, (2) analyze the relationship between adherence to Buddhist principles and holistic well-being, and (3) develop and evaluate the effectiveness of a holistic health promotion program integrating Buddhist wisdom with digital technology. The research was conducted in four phases: situational analysis, program development, program implementation and evaluation, and program refinement into a finalized version. Participants consisted of 250 monks in Mueang Uttaradit District, Uttaradit Province, selected through multistage sampling. The research instruments included a questionnaire on holistic health status and digital technology use, a holistic well-being assessment, and a program satisfaction questionnaire. Quantitative data were analyzed using descriptive statistics, t-tests, Pearson’s correlation, and multiple regression analysis. Qualitative data were analyzed using content analysis.

The results showed that 30.80% of the monks had a body mass index in the obese range, 21.60% had hypertension, and 17.20% experienced high levels of stress. A total of 95.20% of the monks used smartphones, with an average usage of 3.80 hours per day. Adherence to Buddhist principles was positively associated with holistic well-being at a statistically significant level (p-value < 0.001). The “Samanah Well-being in the Digital Era” program consisted of a health-recording application, an electronic manual integrating Buddhist principles with health care, exercise videos based on Buddhist practices, and a monitoring and evaluation system. After three months of program implementation, the monks showed significant improvement in holistic well-being across all dimensions (p-value < 0.001). Participants reported a high level of satisfaction with the program (Mean = 4.24). These findings indicate that the program has strong potential to promote holistic well-being among monks and could be expanded to support the implementation of health-promoting temple policies.

Development and Evaluation of a Self-Management Model for Patients with Type 2 Diabetes with Family and Community Participation among Ethnic Groups in Mae La Noi District, Mae Hong Son Province

2026-01-05T09:40:50+07:00

This research and development study aimed to develop and evaluate the effectiveness of a self-management model for patients with type 2 diabetes, involving family and community participation among ethnic groups in Mae La Noi District, Mae Hong Son Province, Thailand, on self-care behaviors and glycated hemoglobin (HbA1c) levels. The study was conducted in two phases. Phase 1 involved the development of the self-management model. Phase 2 evaluated the effectiveness of the model using a quasi-experimental one-group pretest–posttest design (n=40). Data collection instruments included a self-management behavior assessment questionnaire and laboratory testing of glycated hemoglobin (HbA1c). Quantitative data were analyzed using descriptive statistics and comparisons of mean scores before and after the intervention, while qualitative data were analyzed using content analysis.

The results showed that the developed self-management model consisted of four key components: culturally appropriate education and skill training, family support for behavioral change, participation of village health volunteers and community members in follow-up care, and proactive home visits conducted by a multidisciplinary team. After the intervention, participants demonstrated significantly higher mean scores of self-management behaviors (p-value = 0.01) and a significant improvement in glycated hemoglobin levels (p-value < .001). Therefore, this model can be applied to the care of patients with type 2 diabetes in primary health care settings through collaboration among health professionals, families, and communities, particularly in remote areas or among ethnic populations.

Factors Associated with Adaptation of First-Year Nursing Students at Boromarajonani College of Nursing, Uttaradit

2026-01-05T09:36:44+07:00

This cross-sectional descriptive study aimed to: 1) examine the level of adaptation among first-year nursing students at Boromarajonani College of Nursing, Uttaradit; 2) compare adaptation by personal factors; 3) explore the relationships between personal factors and adaptation; and 4) identify predictors of adaptation. The sample consisted of 130 first-year nursing students in the 2024 academic year. Research instruments included a demographic questionnaire and a five-domain adaptation questionnaire. Data were analyzed using descriptive statistics. Differences in adaptation were examined using t-tests and one-way analysis of variance. Relationships between personal factors and adaptation were analyzed using Pearson’s product–moment correlation and point-biserial correlation. Predictors of adaptation were identified using stepwise multiple regression analysis.

The results showed that the overall level of adaptation was high (Mean = 130.40, S.D. = 9.41). The highest mean score was found in the activity and interpersonal relationship domain, while the physical domain had the lowest mean score. No significant difference in overall adaptation was found by gender. However, students who lived with their parents prior to enrollment had significantly higher overall adaptation than those who did not (p-value < 0.05). Correlation analysis indicated that gender and pre-enrollment living arrangement were positively associated with adaptation at a low level, while prior grade point average was moderately positively associated with academic adaptation (p-value < 0.01). Stepwise multiple regression analysis revealed that pre-enrollment living arrangement and prior GPA jointly predicted overall adaptation, accounting for 8.20% of the variance (R² = 0.08, p-value < 0.01). These findings can be used as baseline information for developing systematic and context-appropriate programs to promote nursing students’ adaptation.

Effectiveness of a Health Literacy Enhancement Program for Older Adults with Hypertension

2025-07-18T09:47:31+07:00

This quasi-experimental study with a one-group pretest–posttest design aimed to compare health literacy, self-care behaviors, and blood pressure levels among older adults with hypertension before and after receiving a health literacy enhancement program. The sample consisted of 30 older adults with hypertension who received services at Ban Mae Pha Haen Subdistrict Health Promoting Hospital, Chiang Mai Province. Participants were selected using simple random sampling. The intervention tool was a health literacy enhancement program developed by the researcher. Data collection instruments included a health literacy assessment and a health behavior questionnaire based on the 3E2S principles. Data were analyzed using descriptive statistics and paired t-test.

The results revealed that after completing the program, the participants had an overall good level of health literacy, which significantly increased (p-value < 0.001). In addition, the mean self-care behavior scores significantly improved (p-value < 0.001), and both systolic and diastolic blood pressure levels significantly decreased (p-value < 0.001). Therefore, the health literacy enhancement program was effective in improving self-care behaviors and controlling blood pressure among older adults with hypertension. Therefore, healthcare providers should be encouraged to apply this program in healthcare settings to sustainably improve the quality of care for older adults.

Health Literacy and Factors Associated with Stroke Prevention Behaviors among the Stroke High-risk groups in the Community, Amnat Charoen Province

2026-03-02T13:02:23+07:00

This analytical cross-sectional study aimed to examine health literacy and factors associated with stroke prevention behaviors among high-risk groups in the community of Amnat Charoen Province. A total of 270 participants were selected using a multistage sampling method. The research instruments included a demographic questionnaire, a stroke health literacy questionnaire, and a stroke prevention behavior questionnaire. Data were analyzed using descriptive statistics, and associations were examined using multivariable logistic regression.

The results showed that the majority of participants were female (61.48%) and male (38.52%), with 56.30% aged 55 years and older. The mean age was 53.65 years (S.D. = 6.69). Overall, stroke health literacy was at a moderate level (54.44%). Regarding stroke prevention behaviors, 37.78% of participants demonstrated good behaviors, while 62.22% had poor behaviors. Factors significantly associated with stroke prevention behaviors included receiving stroke-related knowledge within the past year (AOR = 3.61, 95% CI: 1.60–8.11, p-value = 0.002) and stroke health literacy (AOR = 9.50, 95% CI: 3.38–26.69, p-value < 0.001). Therefore, promoting stroke health literacy should be emphasized, as it can contribute to improved stroke prevention behaviors among high-risk populations.

Cost Analysis of Nursing Activities Bed Management Using Lean Management and Conventional Bed Management in Intensive Care Unit of a Private Hospital

2026-01-05T09:29:51+07:00

This descriptive research aimed to study the costs of bed management nursing activities using Lean Management in the Intensive Care Unit (ICU) of a private hospital. The population consisted of cost reports from all 16 nursing personnel working in the ICU. The sample included cost reports from nursing activities provided to 30 purposively selected critically ill patients. The research instruments comprised two sets of nursing activity cost and time recording forms (covering 5 primary activities). Data were analyzed using descriptive statistics, including frequency, percentage, and mean were used for analysis.

The study found that the total cost of nursing activities under Lean management was 3,526,742 Baht (LC:MC:CC = 14.75:0.18:85.07), which was lower than conventional bed management (totaling 3,735,755 THB). The highest cost component was investment cost at 3,034,010 Baht, with an average of 15,888.98 Baht. The second highest was labor cost at 488,270 Baht, averaging 18,722 Baht. The lowest cost was material cost at 4,462.24 Baht, with an average of 2,294.3 Baht. Comparing Lean bed management with conventional nursing activities management, it was found that costs were reduced by 209,012.76 Baht. The most significant reduction occurred in Standard 3 (Nursing management during hospitalization), with a decrease of 18,531.45 THB. Furthermore, under Standard 1 (Pre-admission preparation), Lean Management significantly reduced operational time from 25.9 minutes to 15.7 minutes. This study indicates that implementing the Lean concept in nursing activities can reduce costs and management time within healthcare units through evidence-based results, aligning with the Lean management approach while maintaining nursing service quality standards.

Effectiveness of a Workshop Training Program Combined with a Handbook on Knowledge and Skills in Diabetic Complication Screening in Older Adults among Village Health Volunteers

2026-03-02T13:09:01+07:00

This one-group quasi-experimental study with a pretest–posttest design aimed to compare knowledge and practical skill scores of village health volunteers (VHVs) in screening for complications of diabetes among older adults before and after participating in a hands-on training program. The sample consisted of 152 VHVs, selected through purposive sampling based on predefined inclusion criteria. The research instruments included a practical training program combined with a manual for the prevention and delay of diabetes-related complications in older adults, a knowledge assessment, and a practical skills assessment. Data were analyzed using descriptive statistics, the Wilcoxon Signed-Rank Test, and the paired t-test.

The results showed that the mean knowledge score on the prevention and delay of diabetes-related complications in older adults after the training (Mean = 13.93, S.D. = 0.78) was significantly higher than before the training (Mean = 12.25, S.D. = 1.09) (z = 10.40, p-value < 0.001). Similarly, the mean practical skill score for screening diabetes-related complications among older adults after the training (Mean = 15.37, S.D. = 1.76) was significantly higher than before the training (Mean = 5.08, S.D. = 1.84) (t = 69.35, p-value < 0.001). These findings highlight the importance of implementing active learning approaches in conjunction with appropriate supporting manuals tailored to the roles of VHVs. Such strategies can effectively enhance knowledge and practical skills in screening for diabetes-related complications among older adults and may be applicable for use in other community settings to ensure continuous and effective care.

Effectiveness of a Family-Centered Care Program on Caregiver Readiness for Patients with Traumatic Brain Injury

2026-03-02T12:09:16+07:00

This quasi-experimental study with a two-group pretest–posttest design aimed to compare the readiness scores of caregivers of patients with traumatic brain injury between those who received a family-centered care program and those who received usual care, and compare the caregivers’ readiness scores in the experimental group before and after receiving the program. Participants consisted of 79 primary caregivers who were family members of patients with traumatic brain injury admitted from the initial stage through discharge in the trauma ward at Nakornping Hospital. The participants were divided into a control group (n=40) and an experimental group (n=39). The experimental group received the family-centered care program, while the control group received usual care. The research instrument included the family-centered care program, which comprised four components: respect and dignity, information sharing, participation, and collaboration. The program was implemented in three sessions. Data collection instruments included a demographic data form for patients and caregivers, a traumatic brain injury severity assessment based on clinical practice guidelines, and a caregiver readiness assessment scale. Data were analyzed using descriptive statistics and t-tests.

The results showed that after receiving the program, the readiness scores of caregivers of patients with traumatic brain injury in the experimental group were significantly higher than those in the control group (p-value < 0.05). Additionally, the readiness scores of caregivers in the experimental group after receiving the program were significantly higher than before participation (p-value < 0.05). These findings indicate that the family-centered care program effectively improves the readiness of caregivers of patients with traumatic brain injury. Therefore, the program should be applied in practice to enhance caregivers’ readiness in providing continuous and effective care and rehabilitation for patients with traumatic brain injury.

Effects of a Self-Efficacy Enhancement Program for Women of Reproductive Age on Health Literacy and Breast Cancer Preventive Behaviors at Saen Phan Health Promoting Hospital, Nakhon Phanom Province

2025-11-24T09:35:33+07:00

This quasi-experimental study with a pretest-posttest design aimed to compare health literacy scores and breast cancer preventive behavior scores before and after participation in the program. The sample consisted of 35 women of reproductive age (18-59 years), selected using simple random sampling. The research instrument for the intervention was a self-efficacy enhancement program designed to improve health literacy and breast cancer preventive behaviors among women of reproductive age. Data were collected using a set of questionnaires, including a demographic questionnaire, a health literacy questionnaire, and a breast cancer preventive behavior questionnaire. Descriptive statistics were used to analyze demographic data. Paired t-tests were employed to compare health literacy and breast cancer preventive behavior scores before and after the intervention.

The findings revealed that the mean health literacy score of the participants increased from 3.44 (S.D. = 0.54) before the intervention to 4.23 (S.D. = 0.34) after participation in the program, with a statistically significant difference (p-value < 0.001). Similarly, the mean score for breast cancer preventive behaviors increased from 1.07 (S.D. = 0.31) before the intervention to 1.68 (S.D. = 0.28) after the intervention, also showing a statistically significant difference (p-value < 0.001). These results indicate that the program was effective in enhancing both health literacy and breast cancer preventive behaviors. Therefore, nurses, as community health providers, should emphasize the development and promotion of health literacy among women of reproductive age (18-59 years), along with continuous support for breast cancer preventive behaviors, in order to promote better health and reduce long-term disease risk.